NPI 1083794093 · live from the CMS NPI Registry
Abs Lincs Va
Psychologist, Clinical in Portsmouth, VA. National Provider Identifier 1083794093, active.
NPI record
| NPI | 1083794093 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1634 London Blvd, Portsmouth, VA 23704 |
| Practice phone | 757-393-7211 |
| Enumerated | October 16, 2006 |
| Last updated | March 9, 2011 |
| Authorized official | Steve Filton, Sr Vp Cfo |
| Other names | First Home Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | CO-09-06 (VA) |
| Social Worker, Clinical | 1041C0700X | CO-09-06 (VA) |
| Case Manager/Care Coordinator | 171M00000X | CO-90-06 (VA) |
| Psychologist, Clinical primary | 103TC0700X | CO-09-06 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.